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Keyhole Placement of Heart Surface Pacing Wires

North Carolina rates for HCPCS 33203

Placement of pacing wires directly onto the outer surface of the heart, done with a camera and slim instruments passed through small incisions between the ribs rather than by opening the chest. The wires are then connected to a pacemaker or defibrillator unit. This route is used when wires cannot be threaded to the heart through a vein.

Rates data updated July 2026.

How much does Keyhole Placement of Heart Surface Pacing Wires cost?

$2,913

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $2,913 for this procedure. That total is two separate charges: $1,175 to the doctor who performs it, and $1,738 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,175$851 to $1,738
Facility feeThe hospital or surgery center$1,738$1,175 to $4,169

How much rates vary

Facilitymedian $1,738 · 10th to 90th $794 to $7,586Professionalmedian $1,175 · 10th to 90th $794 to $2,291
$1K$2K$5Kfacility $1,738professional $1,175

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,949.84
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$912.01
Typical High
$2,570.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,737.80
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,230.27
Typical High
$2,137.96
Medcost
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,096.48
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$3,981.07
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,096.48
Typical High
$1,995.26
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$4,897.79
Typical High
$4,897.79
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$8,511.38

Where North Carolina sits

The same service costs 22.5 times more in Indiana than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

North Carolina· 42nd of 49

$2,913

$1,175 physician + $1,738 facility

IN $36,393MD $1,616

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.